Provider Demographics
NPI:1033497185
Name:GOOREVICH, ERICA C (MD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:C
Last Name:GOOREVICH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:200 E 33RD ST
Mailing Address - Street 2:31J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4874
Mailing Address - Country:US
Mailing Address - Phone:212-725-0192
Mailing Address - Fax:914-285-5723
Practice Address - Street 1:51 E 42ND ST
Practice Address - Street 2:1208
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5404
Practice Address - Country:US
Practice Address - Phone:212-725-0192
Practice Address - Fax:914-285-5723
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
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Provider Licenses
StateLicense IDTaxonomies
NY2573452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry